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Individual

MRS. KAYLA HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1306 FRANKLIN AVENUE, PANHANDLE, TX 79068-0816
(303) 518-0768
Mailing address
PO BOX 816, PANHANDLE, TX 79068-0816

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4232
TX

Other

Enumeration date
11/13/2015
Last updated
11/13/2015
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